Box Butte General Hospital has expanded its health and wellness services available to men and women in its Medical Imaging Department with the addition of the Discovery QDR bone densitometry system from Hologic,” CEO Dan Griess said.  “This technology was made possible through a very generous anonymous donation to the Box Butte Health Foundation, allowing our hospital the opportunity to provide this valuable service full-time to our community.”

The imaging technology of the Discovery provides superb image quality incorporating computer-aided vertebral fracture assessment to quantify and display the degree of vertebral compression. This technology is also the best diagnostic tool to support early detection and treatment of osteoporosis. The Discovery is the single platform to support a broad spectrum of patients over a lifetime of care. Discovery enables new dimensions in care, including lumbar spine and proximal femur studies and many other clinical applications.

“The Medical Imaging Department at BBGH provides a comprehensive scope of services addressing the needs of our clients,” said department manager Carolyn Anglesey, RT (R)(M)(CT). “Each and every patient receives personalized care designed to meet that person’s individual needs. Our staff is highly trained and our equipment is state-of-the-art. We are committed to providing exceptional care to the people in our community.”

The Discovery system arrived at BBGH in March of 2012. “We had been offering bone health assessments for many years using a mobile unit prior to leasing the Discovery system,” Ms. Anglesey said, “but it was only here once every four weeks and then for just a four hour block. We very much wanted to be able to provide this service on a continual basis, making it more convenient for our patients. We can now schedule the exam at the patient’s convenience when referred to us by his or her provider.”

Using Dual-energy X-ray absorptiometry (DXA), the Discovery system produces x-ray beams with different energy levels aimed at a patient’s bones to measure Bone Mineral Density (BMD). Soft tissue absorption is subtracted, and the BMD is determined from the absorption of each beam by bone.

Bone density tests are not the same as bone scans. Bone scans require an injection beforehand and are usually used to detect fractures, cancer, infections and other abnormalities in the bone. Unlike bone scans, DXA bone density tests are non-invasive, with patients able to wear street clothes during the exam, as long as there isn’t any metal present.

“When doing a bone density test, we scan both hips, the spine, and if we can’t get one of those, the forearm,” explained Medical Imaging technologist Leslie Hulquist, RT (R)(M)(CT), one of three technologists trained on the Discovery system. Ms. Hulquist, Donna Ryan RT (R)(M) and Amber Smith, RT (R)(M) received hands on training on the Discovery unit from a Hologic applications specialist. The hospital provided additional training for the technologists in the form of local and regional conferences.

Asked how many exams have been conducted using the new unit, Ms. Smith said, “Providers have referred 58 patients to us since we received the system in March. Of those 58 exams, 24 have come back positive for osteopenia (lower than normal BMD) and 17 for osteoporosis, a serious condition that can result in severe pain with fractures.”

Risk factors for osteoporosis include aging, being female, low body weight, onset of menopause, smoking, and some medications. Although osteoporosis is more common in older women, men can also develop the condition.

Medical providers use bone density testing to:

 

— Identify decreases in bone density before fractures occur

— Determine risk of broken bones (fractures)

— Confirm a diagnosis of osteoporosis, if a patient has experienced broken bones

— Monitor osteoporosis treatment

 

“We often receive referrals from providers due to the types of medication a patient is using, such as steroids or other prescription medications,” Ms. Smith added. “Long term use of steroids such as prednisone can affect bone density. These treatments can have an effect on bone health, so it’s important to monitor BMD with long term use of such medication.”

As mentioned, age is also a risk factor for both men and women. “Monitoring bone health, especially when 75 or older, is important,” Ms. Smith concluded. “One of the statistics that stands out for me is the fact that people in risk of a hip fracture at that age have a mortality rate of 24 percent if that occurs. Monitoring bone health and following a lifestyle and diet plan that promotes bone health at that age is important.”

BBGH is a non-profit, county owned 25-bed Critical Access Hospital. The mission of BBGH is to lead and innovate in healthcare delivery and community wellness.